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You are here: Contents > 2015 > Volume 24 Number 2 March 2015 > CASE REPORT > Triple Prosthetic Valve Dysfunction 30 Years after Surgery

Triple Prosthetic Valve Dysfunction 30 Years after Surgery

Maria Bonou1, Eva D. Papadimitraki1, John Skiadas2, John Barbetseas1

1Department of Cardiology, Laiko General Hospital, Athens, 2Department of Cardiology, Hippokrateion Hospital, Athens, Greece

Triple prosthetic valve operation carries a high peri-procedural risk and is associated with decreased long-term survival. Herein is reported the case of a 59-year-old female with a 30-year history of successful triple-valve replacement for rheumatic heart disease, who presented with symptomatic valvular dysfunction and rhythm disturbances. The patient was one of the few who had survived more than 30 years after triple-valve surgery. Illustrative echocardiograms and cinefluoroscopic images are provided, and issues regarding prosthetic valve dysfunction and rhythm disturbance management in operated patients are briefly discussed.


Video 1: Transesophageal echocardiography, long-axis view, color Doppler. The PMV hemi-disc exhibits restricted opening.

Video 2: Cinefluoroscopy, left anterior oblique (LAO) cranial PMV view. Restricted hemi-disc opening is depicted.

Video 3: Cinefluoroscopy, left anterior oblique (LAO) caudal PTV view. Intermittent restriction of PTV hemi-disc opening.

Video 4: Cinefluoroscopy, right anterior oblique (RAO) cranial PAV view. Normally opening PAV hemi-disc.

The Journal of Heart Valve Disease 2015;24:266-269


Triple Prosthetic Valve Dysfunction 30 Years after Surgery

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